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Claims Manager, Medical Stop-Loss at NFP in Philadelphia, PA



$80K — $100K *


Banking, Loans & Insurance


5 - 7 years

Job Description

Excess Reinsurance, a market leader in the self-funded medical insurance market, has a full- time position for an experienced Claims Manager in its Woodbury, NJ office. The successful candidate must have a working knowledge of medical stop-loss claims as well as experience in managing a team of claims auditors.

Job Responsibilities

  • Oversee entire claims operation including auditors and claims support staff (aprox six)
  • Review and approve complex and high dollar claims-excess 100k
  • Create and maintain internal claims processes and procedures
  • Review and evaluate claim trends and evaluate areas of claims abuse
  • Act as a resource to underwriters and marketers for TPA evaluation.

Required Skills:

  • 5 years' experience in medical stop loss claims. Stop Loss experience is required for application.
  • Prior supervisory experience
  • Strong leadership skills
  • Good communication skills, both written
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Valid through: 7/7/2020

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* Ladders Estimates